Individual
DR. EILEEN MARY KATHRYN FONTANETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D. F.A.A.P.,M.P.H.
Contact information
Practice address
188 BROWN ST, SEA CLIFF, NY 11579-1602
(516) 674-0959
(718) 380-3214
Mailing address
188 BROWN ST, SEA CLIFF, NY 11579-1602
(516) 674-0959
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
164801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0027727
—
NY
Enumeration date
09/02/2005
Last updated
02/09/2011
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